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General NPI Number Information
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NPI Number | 1013539790
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Entity Type | Organization
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Legal Business Name | CAITLIN PAYNE LCSW PLLC
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Dates
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Enumeration Date | 05/15/2020
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Last Update Date | 05/20/2020
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Provider Practice Location Address
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Address Line | 3701 KIRBY DR STE 890
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City | HOUSTON
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State | TX
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Zip | 77098-3918
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Country | US
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Telephone | 770-658-4111
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Fax |
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Provider Business Mailing Address
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Address Line | 2119 WESTHEIMER RD APT 1222
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City | HOUSTON
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State | TX
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Zip | 77098-1783
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Country | US
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Telephone | 770-658-4111
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAITLIN PATRICIA PAYNE
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Credential | LCSW
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Telephone | 770-658-4111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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